Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 550 - LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS
Subchapter C - GENERAL PROVISIONS
Division 6 - PHYSICIAN, PHARMACY, MEDICATION, AND LABORATORY SERVICES
Section 550.705 - Administration of Medication

(a) A center must adopt and enforce written policies and procedures for the administration of medication to a minor. The policies and procedures must address:

(b) A center's written policy must ensure compliance with:

(c) If there is a direct conflict between this chapter and other applicable state and federal laws and regulations, a center must comply with the more stringent requirements.

(d) The administration of medication by center staff must be included in a minor's plan of care.

(e) A center must adopt and enforce written policies and procedures for maintaining a current medication list and a current medication administration record.

(f) A center's written policy must require center staff who supervise, assign, or delegate the administration of medication or administer medication to a minor to maintain a current medication list in the minor's medical record.

(g) A center may incorporate a current medication list and medication administration record into one document.

(h) An RN must review the medication list initially after a minor is admitted and update the list when necessary but at least every 90 days.

(i) An RN must report significant findings from a review of the medication list to the minor's prescribing physician.

(j) Review of the medication list includes evaluation of prescription and over-the-counter drugs, medication orders, and the medication list for:

(k) A center must adopt and enforce written policies and procedures on medication errors. The policy must ensure that the nursing director, a minor's prescribing physician and the minor's parent are notified immediately after the discovery of a medication error or an adverse reaction.